Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Omar Yacob

Individual provider Internal Medicine Physician · NPI 1417442369

Omar Yacob is an Interventional Cardiology in Conway, Arkansas. Qualified in 2021, 5 years ago. Practices with Baptist Health, a 107-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
5
Licensed in
AR
In the registry since
2018
Specialties on file
2

Practice location Address checks out

625 United Dr Ste 220
Conway, AR 72032-7835
Phone: (501) 358-6361
Fax: (501) 358-6714
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X · Licence E-19041 (AR)
Internal Medicine Physician Taxonomy 207R00000X · Licence E-19041 (AR)

Record details

NPI number1417442369
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 23, 2018
Last updated in NPPESJune 6, 2025
Certification dateJune 6, 2025
Mailing address11001 Executive Center Dr Ste 200, Little Rock, AR 72211-4393

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERVENTIONAL CARDIOLOGY
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Baptist Health — 107 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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